Organization
ORTHODONTIC SPECIALISTS OF MINNESOTA, PLLC
Active
Organization
ORTHODONTIC SPECIALISTS OF MINNESOTA, PLLC
Active
Other names
The Dental Specialists - Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH DITTER (SENIOR MANAGER OF REVENUE CYCLE)
(651) 746-2884
Entity
Organization
Contact information
Practice address
2200 COUNTY ROAD C W, SUITE 2210, ROSEVILLE, MN 55113
(651) 633-0500
(651) 636-6894
Mailing address
2200 COUNTY ROAD C W STE 2210, ROSEVILLE, MN 55113-2551
(651) 633-0500
(651) 309-8826
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/01/2012
Last updated
08/11/2026
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